Required Forms (all patients)
PHC Release of Information (English) / (Spanish)
Communications Preferences (English) / (Spanish)
PHC Notice of Privacy Practices (English) / (Spanish)
Patient Information
Admission for Services/Inclusions and Limitations
Patient Rights and Responsibilities/Facility Rights and Responsibilities
Grievance and Complaint Policy
Cap on Charges/Cap on Specialty Charges
Emergency Financial Assistance Request
Consent for an Assistor